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Laparoscopic cholecystectomy, Kalo triangle dissection

Laparoscopic cholecystectomy, Kalo triangle dissection.
Professor Puchkov K.V. is performing an operation (2018).

The video shows the technique of laparoscopic classical cholecystectomy for chronic calculous cholecystitis. At this stage, special attention is paid to careful dissection of tubular structures in the area of the Kahlo triangle with a monopolar electrode (this stage is specifically shown without mounting). After dissection of the cystic duct and artery, as well as visualization of the lateral wall of the common bile duct, the selected structures cut between the clips. A 10 mm applicator is inserted from the working port in the left hypochondrium (it was used to perform cardiomyotomy for achalasia cardia). The gallbladder is removed from the abdominal cavity in a plastic container. You can read more about the techniques on the personal site of Professor Konstantin Viktorovich Puchkov.

You can read more about the techniques on the personal site of Professor Konstantin Viktorovich Puchkov.

Laparoscopic cholecystectomy, using the single access (S.I.L.S.Port COVIDIEN)

Laparoscopic cholecystectomy, using the single access (S.I.L.S.Port COVIDIEN).
Professor Puchkov K.V. is performing an operation (2018).

In this video the technique of laparoscopic cholecystectomy for chronic calculous cholecystitis, using the single port (SILS port COVIDIEN), is presented. The sizes of the gallbladder are as follows: 14x7 cm. The doctor is commenting on positioning of the port. Taking into consideration big sizes of the gallbladder, its puncture is being done and evacuation of 100 mL of thick bile is taking place. The technique of transcutaneous fixing stitches, a careful exposure of the cystic duct and artery by a 5 mm monopolar hook and mini retract COVIDIEN instrument and clipping of all these structures by a 5 mm automatic applicator is presented. The dissected gallbladder is removed from the abdominal cavity in a plastic container.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

Laparoscopic cholecystectomy, using the single access-SILS (concrement is 6 cm, contents volume 400 mL)

Laparoscopic cholecystectomy, using the single access-SILS (concrement is 6 cm, contents volume 400 mL)
Professor Puchkov K.V. is performing an operation (2017).

The technique of laparoscopic cholecystectomy, using the single port (SILS port COVIDIEN) for chronic calculous cholecystitis and gallbladder hydrops, is presented. The sizes of the gallbladder are as follows: 20x10 cm (the volume is 400 mL), the size of a stone is 6 cm. Taking into consideration big sizes of the gallbladder, its preliminary puncture is done, as well as evacuation of its 400 mL contents. The technique of transcutaneous fixing stitches is shown, as well as a careful exposure of the cystic duct and artery by a 5 mm monopolar hook and by mini retract COVIDIEN instrument, and clipping of these structures by means of a 5 mm automatic applicator. The removed gallbladder is pulled out from the abdominal cavity in a plastic container. The way the removed gallbladder and concrements look like is shown in this video.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

Laparoscopic cholecystectomy, using the single access (S.I.L.S. Port COVIDIEN)

Laparoscopic cholecystectomy, using the single access (S.I.L.S. Port COVIDIEN).
Professor Puchkov K.V. is performing an operation. (2015).

In this video the technique of laparoscopic cholecystectomy, using the single port (SILS port COVIDIEN) for chronic calculous cholecystitis, is presented. The size of the gallbladder is as follows: 12x5 cm. The technique of transcutaneous fixing stitches, a careful exposure of the cystic duct and arteries by a 5 mm monopolar hook and mini retract COVIDIEN instrument and clipping of these structures by a 10 mm applicator is demonstrated.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

Simultaneous laparoscopic cholecystectomy and supracervical hysterectomy, using the single laparoscopic access

Simultaneous laparoscopic cholecystectomy and supracervical hysterectomy, using the single laparoscopic access.
Professor Puchkov K.V. is performing an operation (2013).

In this video the technique of laparoscopic cholecystectomy, using the single port (COVIDIEN SILS port) in case of calculous cholecystitis, is presented. The sizes of the gall bladder are the following: 14x7 cm. The technique of trancscutanous fixing stitching, exposure of the vesicular duct and arteries, using COVIDIEN mini retract instrument and clipping of these structures by a 10 mm automatic applicator have been demonstrated. Hysterectomy is performed by means of a 10 mm Liga Sure MEDTRONIC COVIDIEN instrument. Dissection of the uterine body from its cervix is performed by Karl Storz monopolar loop. Abdomen peritonization and stitching of the sacrouterine ligaments are done with the help of Endo Stitch COVIDIEN instrument.

You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.

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